Active NPI
Raymond Jay Young Jr., PHARMD
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1447523386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14593
- Practice address
- 4350 Will Rogers Pkwy
Oklahoma City, OK 73108-1826 - Phone
- (405) 948-4602
- NPI assigned
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68863 | CA | |
| Pharmacist | 183500000X | 14120 | NE | |
| Pharmacist | 183500000X | 14593 | OK | Primary |
Addresses
Primary practice location
4350 Will Rogers Pkwy
Oklahoma City, OK 73108-1826
Mailing address
9008 NW 147TH Ter
Yukon, OK 73099-9778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68863 | CA | MD | Pharmacist |
| 14120 | NE | MD | Pharmacist |
| 14593 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1447523386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9008 NW 147TH TER",
"city": "YUKON",
"state": "OK",
"postal_code": "730999778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 WILL ROGERS PKWY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731081826",
"telephone_number": "405-948-4602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "RAYMOND",
"middle_name": "JAY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68863",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14120",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.